患儿女,12岁,因发热并腹胀半月入院。起病无明显诱因地发热38℃±。疲乏无力,腹胀有时脐周痛。夜间盗汗,无咳喘。饮食少,日见消瘦。当地医院诊为肝硬化腹水、胸膜炎。经抗生素及保肝治疗无好转于1995年4月转我院。体检:体温37.9℃,脉搏96次/分,呼吸22次/分,体重32kg,血压14/8kPa。精神不振,消瘦面容。浅表淋巴结无肿大。颜面无浮肿。颈静脉无怒张。心音有力,律整,各瓣膜听诊区未闻及杂音。右肺呼吸音稍低。腹膨隆,腹壁 Children with children, 12 years old, due to fever and abdominal distension half a month admitted. No obvious cause of onset of fever 38 ℃ ±. Fatigue, abdominal distension and sometimes umbilical pain. Night sweats, no cough and asthma. Eat less, see thin day. Local hospital diagnosed as cirrhosis and ascites, pleurisy. Antibiotics and hepatoprotective therapy without improvement in April 1995 to our hospital. Physical examination: body temperature 37.9 ℃, pulse 96 beats / min, breathing 22 beats / min, weight 32kg, blood pressure 14 / 8kPa. Unresponsive, thin face. Superficial lymph nodes without swelling. No swelling of the face. Jugular vein without tension. Heart sound strong, law, the valve auscultation area did not smell and noise. Right lung breath sounds slightly lower. Abdominal bulge, abdominal wall